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- Hesser, HugoLinköpings universitet,Psykologi,Filosofiska fakulteten (author)
Therapeutic Alliance in Internet-Delivered Cognitive Behaviour Therapy for Depression or Generalized Anxiety
- Article/chapterEnglish2017
Publisher, publication year, extent ...
- 2016-04-06
- John Wiley & Sons,2017
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:oru-78078
- https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-78078URI
- https://doi.org/10.1002/cpp.2014DOI
- http://kipublications.ki.se/Default.aspx?queryparsed=id:135618551URI
- https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-137100URI
Supplementary language notes
- Language:English
- Summary in:English
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- Funding Agencies:Canadian Institutes of Health Research (CIHR) 101526Saskatchewan Health Research Foundation
- Funding Agencies|Canadian Institutes of Health Research [101526]; Saskatchewan Health Research Foundation
- There has been limited research on therapeutic alliance in the context of therapist-assisted Internet-delivered cognitive behaviour therapy (ICBT) when delivered in clinical practice. The present study investigated therapeutic alliance in ICBT delivered to patients seeking treatment for symptoms of depression (n=83) or generalized anxiety (n=112) as part of an open dissemination trial. ICBT was provided by 27 registered therapists or 28 graduate students working in six geographically dispersed clinics; therapist-assistance was delivered primarily through secure messages and occasionally telephone calls. The Generalized Anxiety Disorder-7 and Patient Health Questionnaire-9 were collected pre-, mid- and post-treatment, and the Therapeutic Alliance Questionnaire was assessed mid- and post-treatment. Therapeutic alliance ratings were high both at mid-treatment and post-treatment (above 80%). There was no relationship between therapeutic alliance ratings and improvement on primary outcomes. Among patients treated for depression, lower ratings of mid-treatment alliance were associated with concurrent treatment by a psychiatrist and fewer phone calls and emails from their therapist. Among patients treated for generalized anxiety, ratings of mid-treatment alliance were higher among registered providers as compared to graduate students. Multiple directions for future research on therapeutic alliance in ICBT are offered, including suggestions for developing a new measure of therapeutic alliance specific to ICBT and measuring therapeutic alliance throughout the treatment process.
Subject headings and genre
- SAMHÄLLSVETENSKAP Psykologi Tillämpad psykologi hsv//swe
- SOCIAL SCIENCES Psychology Applied Psychology hsv//eng
- Depression
- Generalized Anxiety
- Internet delivered
- Cognitive Behaviour Therapy
- Therapeutic Alliance
Added entries (persons, corporate bodies, meetings, titles ...)
- Pugh, N. E.Department of Psychology, University of Regina, Regina SK, Canada,University of Regina, Canada; 715 East 12th Ave, Canada (author)
- Hesser, Hugo,1982-Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden(Swepub:oru)hhr (author)
- Andersson, GerhardLinköpings universitet,Karolinska Institutet,Psykologi,Filosofiska fakulteten,Karolinska Institute, Department Clin Neurosci, Stockholm, Sweden(Swepub:liu)geran87 (author)
- Linköpings universitetPsykologi (creator_code:org_t)
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- In:Clinical Psychology and Psychotherapy: John Wiley & Sons24:2, s. 451-4611063-39951099-0879
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